• 제목/요약/키워드: SAPS

검색결과 87건 처리시간 0.026초

성인 중증 중독환자 예측을 위한 새로운 지표 개발: aBIG score for poisoning (Application of Poisoning aBIG score for Prediction of Fatal Severity in Acute Adult Intoxications)

  • 최마이클승필;안재윤;강인구;이미진
    • 대한임상독성학회지
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    • 제12권1호
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    • pp.14-21
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    • 2014
  • Purpose: The objective of this study was to develop a new scoring tool that is comprehensively applicable and predicts fatality within 24 h of intoxication. Methods: This was a cohort study conducted in two emergency medical centers from 2011 to 2012. We identified factors associated with severe/fatality. Through a discriminant analysis, we devised the aBIG (age, Base deficit, Infection, and Glasgow coma scale) score. To compare the ability of aBIG to predict intoxication severity with that of previous scoring systems such as APACHE II, MODS, SAPS IIe, and SOFA, we determined the receiver operating characteristic curves of each variable in predicting severe-to-fatal toxicity. Results: Compared with the mild/moderate toxicity group (n=211), the severe/fatal group (n=143) had higher incidences of metabolic acidosis, infection, serious mental change, QTc prolongation and hepato-renal failure. Age, base deficit, infection-WBC count, and Glasgow Coma Scale were independently associated with severe/fatal poisoning. These variables were combined into the poisoning "aBIG" score [$0.28{\times}$Age group+$0.38{\times}WBC$ count/$10^3+0.52{\times}$Base deficit+$0.64{\times}$(15-GCS)], which were each calculated to have an area under the curve of 0.904 (95% confidence interval: 0.868-0.933). The aBIG poisoning score had an equivalent level of severity predictability as APACHE II and a superior than MODS, SOFA, and SAPS IIe. Conclusion: We developed a simplified scoring system using the four variables of age, base deficit, infected leukocytosis, and GCS. The poisoning aBIG score was a simple method that could be performed rapidly on admission to evaluate severity of illness and predict fatal severity in patients with acute intoxications.

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고로쇠 수액의 저장 중 세균군집 분석 (Analysis of the Bacterial Community during the Storage of Gorosoe(Acer mono Max.) Sap)

  • 오정환;서상태;오혜영;홍진성;강하영
    • 한국식품영양학회지
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    • 제22권4호
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    • pp.492-496
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    • 2009
  • The composition of the bacterial populations in Gorosoe(Acer mono Max.) sap was characterized during storage with different heat treatments($63^{\circ}C$ for 30 min and $73^{\circ}C$ for 15 sec). The saps were aseptically collected at 0, 15 and 30 days of storage and analyzed by dilution plating and 16S rDNA PCR-DGGE analysis. There were significant differences in the total number of colony forming units(CFUs) of bacteria between heated and nonheated saps. Bacteria of nonheated sap were present at a level of $3.4{\times}10^7CFU/m{\ell}^{-1}$, whereas living bacteria were not detected in the heated sap. According to the 16S rDNA sequence and DGGE analysis, Pseudomonas sp. was the most abundant bacterial strain in the samlpes, and the bacterial community structures become more simplified with time and were composed of the Chryseobacterium sp. with time. These results allowed us to characterize the dominant bacteria involved in Gorosoe sap and to better understand their dynamics throughout storage.

정신분열증 환자에서 혈장 HVA 및 5-HIAA 농도와 정신병리와의 상관성 (Relationships among Plasma Homovanillic Acid, 5-hydroxyindoleacetic Acid Concentrations and the Psychopathology of Schizophrenic Patients)

  • 김용구;박성근;김인;이민수
    • 생물정신의학
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    • 제4권1호
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    • pp.95-101
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    • 1997
  • The recent hypothesis about the pathophysiology of schizophrenia has been centered mainly on two theories, i.e. dopamine hypothesis and serotonin hypothesis. We investigate the correlations between plasma monoamine metabolite concentrations and clinical symptoms in schizophrenic patients. The first purpose of our study was to examine whether the plasma levels of HVA(homovanillic acid) and 5-HIAA(hydroxyindoleacetic acid) are significantly different in schizophrenics, compared to normal controls. And, with the intention of clarifying the interaction between dopaminergic system and serotoninergic system, the ratio of HVA/5-HIAA also was measured. The second purpose was whether the basal(pre-treatment) levels of these metabolites show the correlation with clinical symptoms. Finally, third purpose was whether basal HVA and 5-HIAA levels can be held as a predictor of treatment response. We used Scale for the Assessment of Positive Symptoms(SAPS) and Scale for the Assessment of Negative Symptoms(SANS) as the clinical symptom rating scales. Our results were as followed, 1) only the level of basal plasma HVA was significantly differ in schizophrenics. 5-HIAA and HVA/5-HIAA were not. 2) basal HVA showed significant correlation with SAPS score, especially delusion subscale. 3) the higher was the basal HVA level, the more improvement in clinical symptoms was observed. The basal 5-HIAA level and the HVA/5-HIAA ratio did not show any significant findings. These results support the dopamine hypothesis of schizophrenia, but fail to examine on the possible involvement of serotonin in schizophrenia.

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고로쇠 및 대나무 수액간장의 성분조성 (The Components of the Fermented Soy Sauce from Gorosoe and Bamboos SaP)

  • 정미자;조종수;김행자;성낙주
    • 한국식품영양학회지
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    • 제14권2호
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    • pp.167-174
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    • 2001
  • 기존의 간장 담금 용수 대신에 고로쇠와 대나무 수액을 이용하여 간장을 제조하였고 90일간 숙성시키면서 유기산, 무기물, 유리당, 유리아미노산 및 질소화합물 등을 분석하였다. 90일간 숙성시킨 후 무기질의 총량을 보면 일반간장에 비해 고로쇠수액 간장에서 약 2.0배, 대나무수액 간장에서는 약 4.4배 높게 정량되었다. 무기질 중 특히 칼슘, 칼륨 및 마그네슘 함량이 높았다. 유리당은 대조구에서는 glucose와 galactose, 수액 간장에서는 상기 유리당 외 fructose와 sucrose가 검출되었고, 유기산은 butyric acid가 월등히 높았다. 유리아미노산은 재래식 간장에서는 leucine, phen-ylalanine, isoleucine, lysine 그리고 glutamic acid의 함량이 높았고, phosphoserine을 포함한 11종류의 아미노산은 숙성중 계속 증가하였다. 수액간장의 숙성 중 유리아미노산의 증감 양상은 대조시료와 유사하였다. 총질소, 아미노 질소 및 암모니아성 질소의 함량은 대조시료, 수액간장 모두 일정기간동안 증가하는 경향을 나타내었다.

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대형 디젤엔진 내구 시험에 의한 다른 종류 엔진오일의 물성 및 성능 특성에 관한 연구 (A Study on the Property and Performance Characteristics of Different Kind Engine Oil by Endurance Test of Heavy-duty Diesel Engine)

  • 이민호;김정환;송호영;김기호;하종한
    • 한국자동차공학회논문집
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    • 제22권7호
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    • pp.48-56
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    • 2014
  • Engine oil is an oil used for lubrication of various internal combustion engines. The main function is to reduce wear on moving parts; it also cleans, inhibits corrosion, improves sealing, and cools the engine by carrying heat away from moving parts. In engines, there are parts which move against each other. Otherwise, the friction wastes the useful power by converting the kinetic energy to heat. Those parts were worn away, which could lead to lower efficiency and degradation of the engine. It increases fuel consumption, decreases power output, and can induce the engine failure. This study was conducted to evaluate the relation between engine oil property changes and engine performance for the diesel engine. This test was performed by using 12L, 6 cylinder, heavy duty engines. Low SAPS 10W30 engine oil (two type engine oils) was used. Test procedure and method was in accordance with the modified CEC L-57-T97 (OM441LA) method. In this study, TAN, TBN, KV and metal components, engine power, blowby gas, A_F were presented to evaluate the relation with engine oil property changes and engine performance. TAN, TBN, KV and metal We found that the components were generally increased but engine performance did not change. This results mean that property changes did not affect on engine performance because those were not enough to affect engine performance.

황철석 암버럭을 이용한 고속도로 성토체의 산성배수 처리 사례 연구 (Case Study on the Treatment of Acid Rock Drainage from an Embankment with Pyrite Rocks)

  • 공정식;김태형;송영석
    • 지질공학
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    • 제31권4호
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    • pp.523-532
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    • 2021
  • 본 연구에서는 고속도로 공사 시 주변에 분포하고 있는 황철석이 포함된 암버럭을 성토재로 활용한 사례를 대상으로 산성배수 처리방안을 조사 및 평가하였다. 도로 시공 시 해당 성토구간에 알칼리 차수제를 이용한 중성화 공법을 적용하여 산성배수가 발생되지 않도록 하였다. 그러나 시공이 완료된 이후 장기적인 우수침투로 인하여 산성배수가 유출되어 주변의 토양과 하천을 오염시켰다. 이를 해결하기 위하여 SAPS 조 혹은 생태습지 및 모래여과시설과 같은 정화처리시설을 설치하였다. 정화처리시설 설치 후 유출부에서의 방류수와 주변 토양을 대상으로 산성배수로 인한 오염여부를 평가하였다. 유출부에서의 방류수에 대한 pH 측정 및 주변 토양의 중금속 오염 분석 결과 산성배수에 대한 중화처리가 적절하게 진행되고 있으며, 산성배수 내 존재하는 중금속에 대한 오염관리도 안정적으로 진행되고 있음을 확인할 수 있다.

중환자실 간호사의 업무부담 관련 요인: 체계적 문헌고찰 및 메타분석 (Factors Related to Workload of Intensive Care Unit Nurses: Systematic Review and Meta-Analysis)

  • 정아인;신수진;홍은민
    • 임상간호연구
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    • 제29권3호
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    • pp.296-311
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    • 2023
  • Purpose: This study aimed to identify factors related to the workload of intensive care unit nurses through a systematic literature review and meta-analysis to provide basic data to explore the direction of development of nursing staffing standards. Methods: This study involved quantitative studies about nurses working in intensive care units related to nursing workload published in English or Korean since 2000. Search terms included 'intensive care unit', 'nursing workload', and their variations. Databases such as RISS, DBpia, MEDLINE(PubMed), CINAHL, PsycINFO, and Web of Science were utilized. Quality assessment was conducted using the Joanna Briggs Institute's Critical Appraisal Checklist for Analytical Cross-Sectional Studies. JAMOVI software facilitated the analysis of effect sizes, employing a meta-analysis approach for 7 studies with correlational or regression data. Results: From 16 studies on the workload of intensive care unit nurses, a total of 20 patient and nurse-related factors were identified. Patient-related factors included severity of illness, length of stay, and age. Meta-analysis was conducted for three patient-related factors: age, severity of illness measured by SAPS 3, and length of stay. Only severity of illness measured by SAPS 3 was significantly associated with nurse workload (Zr=0.16, p<.001, 95% CI=0.09-0.24). Conclusion: In previous studies, the characteristics of intensive care units and patients varied across studies, and a variety of scales for measuring workload and severity of illness were also used. Sustained research reflecting domestic intensive care unit work environments and assessing the workload of intensive care unit nurses should be imperative.

후기 급성호흡곤란증후군환자에서 스테로이드의 사용 효과 (The Effect of Steroid Therapy in Patients with Late ARDS)

  • 허진원;임채만;제갈양진;이상도;김우성;김동순;김원동;고윤석
    • Tuberculosis and Respiratory Diseases
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    • 제52권4호
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    • pp.376-384
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    • 2002
  • 연구배경: 급성호흡곤란증후군(ARDS)환자에서의 고용량 및 단기간이 스테로이드의 사용은 사망률은 감소시키지 못하나 최근 섬유증식기로 진행한 후기 급성호흡곤란증후군 환자의 일부에서 스테로이드의 투여가 환자의 예후를 개선시킨다는 몇몇 연구 보고가 있었다. 이에 후기 급성호흡곤란증후군 환자에게 투여한 스테로이드가 사망률 및 호흡 역학에 미치는 영향을 후향적으로 분석하였다. 방 법: 1998년 1월부터 2001년 7월까지 서울중앙병원 내과계 중환자실에 입원한 급성호흡곤란증후군 환자들 중 일주일 이상 기계호흡을 했고 이전에 스테로이드를 쓴 적이 없으면서 기계환기, 복와위, 폐포모집술(recruitment maneuver), 산화질소 흡입 요법 등의 치료에도 급성호흡곤란증후군 진단 8일째 PF ratio가 200이하인 48명 중 스테로이드 치료군 14명과 비치료군 34명의 임상적, 생리적 지표들을 비교 분석했다. 평균${\pm}$표준편차로 표기했다. 결 과: 스테로이드 치료군과 비치료군 사이의 급성호흡곤란증후군의 원인, 연령, 급성호흡곤란증후군 진단 당시와 8일째 PF ratio, LIS, 폐 정적 탄성(static compliance), SAPS II score들의 통계학적 차이가 없었다. 스테로이드 치료군과 비치료군의 생존군만 비교시 치료 후 7일째 PF ratio, GOCA, APACHE III score가 스테로이드 치료군에서 의미 있게 호전되었고 사망률 역시 치료군에서 유의하게 낮았다(42.4% vs 73.5% p=0.02). 결 론: 후기 급성호흡곤란증후군 환자에서 스테로이드의 사용은 호흡역학 및 예후를 개선시킬 것으로 사료된다.

SAPS의 탄소원 공급을 위한 유기물 연구

  • 이지은;고주인;김선준;유상희
    • 한국지하수토양환경학회:학술대회논문집
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    • 한국지하수토양환경학회 2004년도 임시총회 및 추계학술발표회
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    • pp.231-234
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    • 2004
  • The experiments on some organic materials used in SAPS are carried out for the better sulfate reduction efficiency and the longer lifetime. Organic materials include spent mushroom compost, sewage sludge, oak chip compost and the combination of there. Reactors with mushroom compost, sewage sludge, the mixture of mushroom compost and sewage sludge, and the mixture of mushroom compost and oak chip compost maintained pH higher than 6.0. Reactors with mushroom compost, the mixture of mushroom compost and sewage sludge, and the mixture of mushroom compost and oak chip compost maintained reduction condition. Reactors with sewage sludge, oak chip compost and the mixture of sewage and oak chip compost produced COD less than 2,000ppm. Reactors with sewage and the mixture of mushroom compost, sewage sludge, oak chip compost showed about 60% of sulfate removal ratios.

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재난 복구시 신속 배치 가능한 응급통신시스템에서 긴급구조원의 실내위치측정 (Indoor Position Estimation of First Responders for Rapidly Deployable Emergency Communication Systems in Disaster Recovery)

  • 레진 카바카스;나인호
    • 한국콘텐츠학회:학술대회논문집
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    • 한국콘텐츠학회 2018년도 춘계 종합학술대회 논문집
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    • pp.73-74
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    • 2018
  • This paper presents the incorporation of still-alive access points (SAPs) and helper access points (HAPs) that can be utilized as anchor nodes for position estimation of a First Responders (FRs) for rapidly deployable Emergency Communication Systems (ECS) in disaster recovery. In addition, the localization environment has is formulated and initially examines the use of a distributed Gauss-Newton algorithm (GNA) as optimization technizue. A simulation has been conducted and compared with the commonly used trilateration approach in position estimation.

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